Individual provider Active NPI

Angel E Checa Gonzalez, MD

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1881360303
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1383 Issued in FL
Practice address
500 McDuff Ave S
Jacksonville, FL 32254-4250
Phone
(904) 506-4044
Fax
(904) 490-8544
NPI assigned
Aug 17, 2021
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1383 FL Primary

Addresses

Primary practice location

500 McDuff Ave S
Jacksonville, FL 32254-4250

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (856) 577-0869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001799 FL Practitioner - General Practice 5092103499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

5205 Normandy Blvd
Suite 13
Jacksonville, FL 32205-4842
Phone (904) 633-0500

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874

655 W 8TH St
Jacksonville, FL 32209-6511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1383FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 1, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 1, 2026 Accepting new patients
American Care of North Florida, Inc General Practice CurrentSince Aug 7, 2022 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

12171 SW 268th St
Fl Inc
Homestead, FL 33032

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

500 McDuff Ave S
Jacksonville, FL 32254
Phone (904) 506-4044

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1881360303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "856-577-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCDUFF AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322544250",
            "telephone_number": "904-506-4044",
            "fax_number": "904-490-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECA GONZALEZ",
        "first_name": "ANGEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.